Introduction: Pancreaticoduodenectomy after transhiatal esophagectomy is a technically demanding procedure in sense of preserving the blood supply to the gastric tube.
Case report: We report a case of pylorus-preserving pancreaticoduodenectomy for pancreatic head cancer, 13 years after a transhiatal esophagectomy, sparing the gastric tube and the right gastroepiploic artery and vein.
Discussion: This type of operation is less time-consuming and less invasive, since no further reconstruction of the alimentary tract or the vascular system is applied.